Factors Affecting of Long Term Care Hospital Patient's Intention of Transfer to a Nursing Home

요양병원 입원환자의 요양시설 이동의사에 영향을 미치는 요인

  • Lee, Ji-Yun (Research and Development Center, Health Insurance Review & Assessment Service) ;
  • Park, Eun-Gyung (Graduate School of Public Health, Seoul National University)
  • 이지윤 (건강보험심사평가원 심사평가정보센터) ;
  • 박은경 (서울대학교 보건대학원)
  • Published : 2008.06.30

Abstract

Purpose: To examine factors affecting long-term care hospital patients' intention of transfer to a nursing home. Method: A questionnaire survey was conducted in Aug. 2007 that included 655 patients from 49 long-term care hospitals. The survey aimed to assess the patients' health status, family status, cost and intention of transfer to a nursing home. Institutional characteristics were analyzed from the nationwide database of Health Insurance Review & Assessment Service. The affecting factors were examined by employing chi-square test and logistic regression using SAS 8.2. Result: Of the subjects, 32.4% had intention of transfer to a nursing home. The intention of transfer to a nursing home was affected by moderate or severe pain, living together with the primary carer, high cost uncovered by insurance, and recognition of nursing home. Conclusion; For appropriate service utilization. a higher level of care is needed to satisfy patients at nursing homes and a balanced fee schedule is needed between long term care hospitals and nursing homes. It is desirable to encourage transfer to a nursing home at which nurses support patients and their families by giving information, coordination, and to make efforts to establish a reference system.